Department of Microbiology and Immunology, School of Basic Medical Sciences, 74648Shanxi Medical University, Taiyuan, Shanxi, China.
ASN Neuro. 2021 Jan-Dec;13:17590914211016217. doi: 10.1177/17590914211016217.
Parkinson's disease (PD) ranks the second place among neurodegenerative diseases in terms of its morbidity, which affects 1-2% people aged over 65 years. In addition to genetics, some environmental factors may exert vital parts in PD occurrence as well. At present, more and more studies are conducted to elucidate the association between gut microbial dysbiosis and the incidence of PD. Gut microbial dysbiosis has a certain effect on both the central nervous system (CNS) and the enteric nervous system (ENS), which indicates that there is a gut-microbiota-brain axis that induces CNS disorders. Some gut microbial strains are suggested to suppress or weaken the neuroinflammation- and gut-inflammation-immune responses, which suggests the protective and pathogenic effects of certain gut microbial species on PD progression. Therefore, gut microbiome may contain plenty of targets for preventing and managing PD. Faecal microbiota transplantation (FMT) may serve as a direct and useful treatment for PD in the future. Nonetheless, there is little available scientific research in this field. The present work reviewed the latest research to examine the association of gut microbiota with PD, and the future prospects of FMT treatment.
帕金森病(PD)在发病率方面位居神经退行性疾病的第二位,影响着 65 岁以上人群的 1-2%。除了遗传因素外,一些环境因素可能在 PD 的发生中也起着重要作用。目前,越来越多的研究旨在阐明肠道微生物失调与 PD 发病之间的关系。肠道微生物失调对中枢神经系统(CNS)和肠神经系统(ENS)都有一定的影响,这表明存在一个肠道微生物-脑轴,导致 CNS 紊乱。一些肠道微生物菌株被认为可以抑制或减弱神经炎症和肠道炎症免疫反应,这表明某些肠道微生物物种对 PD 进展具有保护和致病作用。因此,肠道微生物组可能包含大量预防和治疗 PD 的靶点。粪便微生物移植(FMT)可能在未来成为治疗 PD 的一种直接而有效的方法。然而,该领域的科学研究还很少。本研究综述了肠道微生物与 PD 之间关系的最新研究,并展望了 FMT 治疗的未来前景。